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05-12-2019

The Construct Validity of Distress Intolerance: Is it Distinct from Demoralization and Negative Emotionality?

Auteurs: Andrew J. Kremyar, Anthony M. Tarescavage, Yossef S. Ben-Porath

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 2/2020

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Abstract

Distress intolerance has been studied as a transdiagnostic mechanism implicated in a variety of forms of psychopathology and psychological treatments. Although past research has largely supported the separability of distress intolerance from related constructs, some evidence indicates that it overlaps to a meaningful degree with demoralization and negative emotionality, two affect-laden psychopathology-vulnerability factors. The goal of the current study was to clarify the position of the distress intolerance construct in a nomological network that includes demoralization and negative emotionality. Using a sample of 402 undergraduate students, we performed confirmatory factor analyses to examine the underlying structure of distress intolerance, demoralization, and negative emotionality. We also conducted zero-order correlational and hierarchical regression analyses to examine whether distress intolerance predicts unique variance in theoretically relevant psychological constructs above and beyond demoralization and negative emotionality. Results indicated that, although distress intolerance, demoralization, and negative emotionality demonstrate similar patterns of associations with external criteria, the constructs are structurally distinct and distress intolerance accounts for unique variance in psychological outcomes. Overall, our findings support the construct validity of distress intolerance as empirically separable from both demoralization and negative emotionality. Clinical implications, limitations, and future directions are discussed.
Voetnoten
1
The Schedule of Compulsions, Obsession, and Pathological Impulses (SCOPI) and Computerized Adaptive Test of Personality Disorder-Static Form (CAT-PD-SF) were added to the battery of criterion measures after the initiation of data collection. This resulted in reduced sample sizes for all analyses involving these instruments (n = 154) as compared to analyses with remaining criterion measures (ns = 377–387; see Tables 1 and 4).
 
2
Factor loadings for alternative one- and two-factor solutions are available from the corresponding author upon request.
 
Literatuur
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.CrossRef American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.CrossRef
go back to reference Barlow, D. H., Farchione, T. J., Bullis, J. R., Gallagher, M. W., Murray-Latin, H., Sauer-Zavala, S., Bentley, K. H., Thompson-Hollands, J., Conklin, L. R., Boswell, J. F., Ametaj, A., Carl, J. R., Boettcher, H. T., & Cassiello-Robbins, C. (2017). The unified protocol for transdiagnostic treatment of emotional disorders compared with diagnosis-specific protocols for anxiety disorders. JAMA Psychiatry, 74(9), 875–884. https://doi.org/10.1001/jamapsychiatry.2017.2164.CrossRefPubMedPubMedCentral Barlow, D. H., Farchione, T. J., Bullis, J. R., Gallagher, M. W., Murray-Latin, H., Sauer-Zavala, S., Bentley, K. H., Thompson-Hollands, J., Conklin, L. R., Boswell, J. F., Ametaj, A., Carl, J. R., Boettcher, H. T., & Cassiello-Robbins, C. (2017). The unified protocol for transdiagnostic treatment of emotional disorders compared with diagnosis-specific protocols for anxiety disorders. JAMA Psychiatry, 74(9), 875–884. https://​doi.​org/​10.​1001/​jamapsychiatry.​2017.​2164.CrossRefPubMedPubMedCentral
go back to reference Ben-Porath, Y. S. (2012). Interpreting the MMPI-2-RF. Minneapolis, MN: University of Minnesota Press. Ben-Porath, Y. S. (2012). Interpreting the MMPI-2-RF. Minneapolis, MN: University of Minnesota Press.
go back to reference Ben-Porath, Y. S., & Tellegen, A. (2008/2011). MMPI-2-RF (Minnesota multiphasic personality Inventory-2 restructured form): Manual for administration, scoring, and interpretation. Minneapolis, MN: University of Minnesota Press. Ben-Porath, Y. S., & Tellegen, A. (2008/2011). MMPI-2-RF (Minnesota multiphasic personality Inventory-2 restructured form): Manual for administration, scoring, and interpretation. Minneapolis, MN: University of Minnesota Press.
go back to reference Clen, S. L., Mennin, D. S., & Fresco, D. M. (2011). Major depressive disorder. In M. J. Zvolensky, A. Bernstein, & A. A. Vujanovic (Eds.), Distress tolerance: Theory, research, and clinical applications (pp. 149–170). New York, NY: Guilford Press. Clen, S. L., Mennin, D. S., & Fresco, D. M. (2011). Major depressive disorder. In M. J. Zvolensky, A. Bernstein, & A. A. Vujanovic (Eds.), Distress tolerance: Theory, research, and clinical applications (pp. 149–170). New York, NY: Guilford Press.
go back to reference Dimeff, L., & Linehan, M. M. (2001). Dialectical behavior therapy in a nutshell. The California Psychologist, 34, 10–13. Dimeff, L., & Linehan, M. M. (2001). Dialectical behavior therapy in a nutshell. The California Psychologist, 34, 10–13.
go back to reference Frank, R. I., & Davidson, J. (2014). The transdiagnostic road map to case formulation and treatment planning: Practical guidance for clinical decision making. Oakland, CA: New Harbinger Publications. Frank, R. I., & Davidson, J. (2014). The transdiagnostic road map to case formulation and treatment planning: Practical guidance for clinical decision making. Oakland, CA: New Harbinger Publications.
go back to reference Lynam, D. R., Smith, G. T., Whiteside, S. P., & Cyders, M. A. (2006). The UPPS-P: Assessing five personality pathways to impulsive behavior (technical report). West Lafayette: Purdue University. Lynam, D. R., Smith, G. T., Whiteside, S. P., & Cyders, M. A. (2006). The UPPS-P: Assessing five personality pathways to impulsive behavior (technical report). West Lafayette: Purdue University.
go back to reference Noordhof, A., Kamphuis, J. H., Sellbom, M., Eigenhuis, A., & Bagby, R. M. (2018). Change in self-reported personality during major depressive disorder treatment: A reanalysis of treatment studies from a demoralization perspective. Personality Disorders: Theory, Research, and Treatment, 9(1), 93–100. https://doi.org/10.1037/per0000238.CrossRef Noordhof, A., Kamphuis, J. H., Sellbom, M., Eigenhuis, A., & Bagby, R. M. (2018). Change in self-reported personality during major depressive disorder treatment: A reanalysis of treatment studies from a demoralization perspective. Personality Disorders: Theory, Research, and Treatment, 9(1), 93–100. https://​doi.​org/​10.​1037/​per0000238.CrossRef
go back to reference Satorra, A., & Bentler, P. M. (1994). Corrections to test statistics and standard errors in covariance structure analysis. In A. von Eye & C. C. Clogg (Eds.), Latent variables analysis: Applications for developmental research (pp. 399–419). Thousand Oaks, CA: Sage Publications, Inc.. Satorra, A., & Bentler, P. M. (1994). Corrections to test statistics and standard errors in covariance structure analysis. In A. von Eye & C. C. Clogg (Eds.), Latent variables analysis: Applications for developmental research (pp. 399–419). Thousand Oaks, CA: Sage Publications, Inc..
go back to reference Schmidt, N. B., Mitchell, M., Keough, M., & Riccardi, C. (2011). Anxiety and its disorders. In M. J. Zvolensky, A. Bernstein, & A. A. Vujanovic (Eds.), Distress tolerance: Theory, research, and clinical applications (pp. 105–125). New York, NY: Guilford Press. Schmidt, N. B., Mitchell, M., Keough, M., & Riccardi, C. (2011). Anxiety and its disorders. In M. J. Zvolensky, A. Bernstein, & A. A. Vujanovic (Eds.), Distress tolerance: Theory, research, and clinical applications (pp. 105–125). New York, NY: Guilford Press.
go back to reference Settles, R. E., Fischer, S., Cyders, M. A., Combs, J. L., Gunn, R. L., & Smith, G. T. (2012). Negative urgency: A personality predictor of externalizing behavior characterized by neuroticism, low conscientiousness, and disagreeableness. Journal of Abnormal Psychology, 121(1), 160–172. https://doi.org/10.1037/a0024948.CrossRefPubMed Settles, R. E., Fischer, S., Cyders, M. A., Combs, J. L., Gunn, R. L., & Smith, G. T. (2012). Negative urgency: A personality predictor of externalizing behavior characterized by neuroticism, low conscientiousness, and disagreeableness. Journal of Abnormal Psychology, 121(1), 160–172. https://​doi.​org/​10.​1037/​a0024948.CrossRefPubMed
go back to reference Tellegen, A. (1985). Structure of mood and personality and their relevance to assessing anxiety, with an emphasis on self-report. In A. H. Tuma & J. Maser (Eds.), Anxiety and the anxiety disorders (pp. 681–706). Hillsdale, NJ: Lawrence Erlbaum Associates. Tellegen, A. (1985). Structure of mood and personality and their relevance to assessing anxiety, with an emphasis on self-report. In A. H. Tuma & J. Maser (Eds.), Anxiety and the anxiety disorders (pp. 681–706). Hillsdale, NJ: Lawrence Erlbaum Associates.
go back to reference Tellegen, A., Ben-Porath, Y. S., McNulty, J. L., Arbisi, P. A., Graham, J. R., & Kaemmer, B. (2003). MMPI-2 restructured clinical (RC) scales: Development, validation, and interpretation. Minneapolis, MN: University of Minnesota Press. Tellegen, A., Ben-Porath, Y. S., McNulty, J. L., Arbisi, P. A., Graham, J. R., & Kaemmer, B. (2003). MMPI-2 restructured clinical (RC) scales: Development, validation, and interpretation. Minneapolis, MN: University of Minnesota Press.
go back to reference Youngstrom, E. A., & Frazier, T. W. (2017). Strategies for evidence-based assessment of children and adolescents: Measuring prediction, prescription, and process. In D. J. Miklowitz, L. W. Craighead, & W. E. Craighead (Eds.), Psychopathology: History, diagnosis, and empirical foundations (3rd ed., pp. 36–79). Hoboken, NJ: Wiley. Youngstrom, E. A., & Frazier, T. W. (2017). Strategies for evidence-based assessment of children and adolescents: Measuring prediction, prescription, and process. In D. J. Miklowitz, L. W. Craighead, & W. E. Craighead (Eds.), Psychopathology: History, diagnosis, and empirical foundations (3rd ed., pp. 36–79). Hoboken, NJ: Wiley.
go back to reference Zvolensky, M. J., Leyro, T. M., Bernstein, A., & Vujanovic, A. A. (2011). Historical perspectives, theory, and measurement of distress tolerance. In M. J. Zvolensky, A. Bernstein, & A. A. Vujanovic (Eds.), Distress tolerance: Theory, research, and clinical applications (pp. 3–27). New York, NY: Guilford Press. Zvolensky, M. J., Leyro, T. M., Bernstein, A., & Vujanovic, A. A. (2011). Historical perspectives, theory, and measurement of distress tolerance. In M. J. Zvolensky, A. Bernstein, & A. A. Vujanovic (Eds.), Distress tolerance: Theory, research, and clinical applications (pp. 3–27). New York, NY: Guilford Press.
Metagegevens
Titel
The Construct Validity of Distress Intolerance: Is it Distinct from Demoralization and Negative Emotionality?
Auteurs
Andrew J. Kremyar
Anthony M. Tarescavage
Yossef S. Ben-Porath
Publicatiedatum
05-12-2019
Uitgeverij
Springer US
Gepubliceerd in
Journal of Psychopathology and Behavioral Assessment / Uitgave 2/2020
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI
https://doi.org/10.1007/s10862-019-09764-9